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Home My WebLink About07-6946 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6946 Permit Number: 6946 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: 1,500.00 Date Issued: 8/14/2007 Total Fees: 40.00 Amount Paid: 40.00 Date Paid: 8/14/2007 Work Desc: REROOF-SHINGLES GAF-25 YR Address: 39012 BLUE JAY AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 13-26-21-0100-00000-0300 Name: AYALA, FRANCES Address: 39012 BLUE JAY AVE ZEPHYRHILLS, FL. 33542 Phone: 813782-7068 ~'i, j. L,. )';(7;J/ / l~ ~.-., REINSPECTION FEES: Reinspection fees will comply with Florida statute 553.80 (2)( c) when extra inspection trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." ~~ ~ '7 CONTRACTOR SIGN URE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER I 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 / Owner's Address Fee Simple Titleholder Namel J'f OJ 2- Dat~ Received 4vc Owner Phone Number L~I3) 7f2- 706$ Owner Phone Number I Of13) '8 y J - 'f) 4 3<f Owner Phone Number I / Owner's Name Fee Simple Titleholder Address 3~()1 "2 /3lu e ~~ /"f~ LOT # ..,/ JOB ADDRESS WORK PROPOSED NEW CONSTR INSTALL SFR BLOCK I ~ D D PARCELID#I \'3-- d.Co-d-. \ - 0\ 00 ~OOCDO.' 0300 (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D SUBDIVISION B D D ./ DESCRIPTION OF WORK I f20..((::>o~ - gh \ Y\c) Q ~ <;;LS ''-1 ~ BUILDING SIZE q yO 51"J+- I SQ FOOTAGE I I HEIGHT I 111111111111111111111111111111111"""1'1""1111"11,11",1""111111"'""11",111,111,,,11,1,,,,111111,11'11111111111111111111111111"1111111 W"" BUILDING PROPOSED USE TYPE OF CONSTRUCTION ADD/ALT REPAIR COMM FRAME D D D 6 A-~ - DEMOLISH OTHER STEEL I D OTHER I VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL D PLUMBING D MECHANICAL AMP SERVICE D PROGRESS ENERGY D W.R.E.C, VALUATION OF MECHANICAL INSTALLATION ...... ./ j-}-6/hG 0 tAi ./1 < ~ Y I N I FEE CURRENT Y/N BUILDER SIGNATURE T;1~ ~q COMPANY REGISTERED Address License # ELECTRICIAN SIGNATURE COMPANY REGISTERED Y I N FEE CURRENT Y/N Address License # PLUMBER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # MECHANICAL SIGNATURE COMPANY REGISTERED YI N FEE CURRENT Y/N Address License # OTHER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address 111111111111111 RESIDENTIAL License # COMMERCIAL 111I1111I1111I1111111111111111111111I1111I111111111111111111111111II111I1111111111111I1I11111111I111111111111111111111111111111111 Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wi Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. Di~~~ti~~~': ' . , , , , , , , , , . , . . , , , , , , , . , , , , . , , , , , . , . . . , . , , , , , , , , , , , , . . , , , , , , , , , , , . , , , , , , , , , , , , , , , , . , , , , , , , . , , , , . . , , , , , , , , , , , , , , , , , , , , , , , , , , , , . , . , , , , , , . Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500. a Notice of Commencement is required. (A1C upgrades over $5000) .. Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage) SIGN PERMIT Driveways-Not over Counter if on public roadwaysnneeds ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any. applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division-Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: Use of fill is not allowed in Flood Zone "V" unless expressly permitted. If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a s.eparate perm~t. may ?e requir~d for elect~ica.1 work, plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallatlons not speCifically 1n~luded. In the application. A permit issued shall be construed to be a license to proce~d With the work a~d not as authorl~ !o vlolat~, cancel, alter, or set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the B~II.dlng OffiCial from the~eaft~r requiring a correction of errors in plans, construction or violat~o~s o! any codes. Every ~ermlt Issued. shall become. Invalid unless the work authorized by such permit is commenced Within SIX months o.f permit Issu~nce, or If work authorized. by the permit is suspended or abandoned for a period of six (6) months after the time th~ work IS commenced.. An extension may be requested, in writing, from the Building Official for a period not t~ exceed mn~ty ~90) days and Will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the\Job IS conSidered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT 201 ~ ~ J.,; SUbSCrif<ed and sworn (or affirmed) before me thO ~1I1..\ 01 by r.:"'~~ C;Vl'e.-...I.e. A....f Ie. ~ Is/are personally known to me or has/have prod ced \'leuR L-\ ~ as identification. CONTRACTOR 24. a~ LA ~ 0.-&- SUbSCribjd and swo . (or affirmed) before me t . .. '1S'/r'-[ c7 by r-:'rRN'\rlL-O Shl("el.JQ.. A"rt..\CL Who is/are personally known to me or has/have produced \-L\)C2~ R. L-\ c...... as identification. , ~J\~, ^"r- ~ ~ Notary Public ., ~'^~ ~~<;.~- Notary Public Commission No. ..tt "",. K .:~.~~ are" .L. Miller Name of Notary typed, Pri~:A~~mISSl. on # DD609664 '~""&~~ ExpIres October 29,2010 WI., Bonded Tror Fern .',...,.,...1 I"... .....7Q1. DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS BUILDING DEPARTMENT I, have read andfuJ.J.y understand and agree to the provisions of this instrument. The undersigned states and affirms. that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domiciJ.e, that he or she actuaJ.J.y occupies, or wiJ.J. occupy by said domiciJ.e, and same is not for rent, J.ease or saJ.e. That he or she shaJ.J. compJ.y with the foJ.J.owing conditions: 1. That the owner and he or she aJ.one shaJ.J. act as the buiJ.der for aJ.J. phases of construction. 2. That the owner wiJ.J. compJ.y with aJ.J. provisions of the City of ZephyrhiJ.J.s ordinances and codes pertinent to the buiJ.ding. 3. That in the event various phases of construction are subcontracted, he wiJ.J. engage onJ.y properJ.y licensed subcontractors and wiJ.l personaJ.J.y supervise such work. 4. That in the event the BuiJ.ding Inspector shalJ. require corrections to be made, the owner wiJ.J. assume fuJ.J. responsibiJ.ity to insure they are made, and upon compJ.etion wiJ.J. caJ.J. for a reinspection before proceeding with the buiJ.ding. 5. That the owner shaJ.J. assume fulJ. responsibiJ.ity for the construction and wiJ.J. not expect supervision of his work from the City of ZephyrhiJ.J.s BuiJ.ding Department. 6. That prior to finaJ. inspection any additionaJ. fees, incJ.uding reinspection fees, must be paid in fuJ.J.. A written request from this office shaJ.J. constitute an officiaJ. notice to pay additionaJ. fees. 7. That the owner shaJ.J. compJ.y with aJ.J. City, State and FederaJ. J.aws in regard to sociaJ. security, workman's compensation, J.ien J.aws, etc., where appJ.icabJ.e. 8. That the owner shaJ.J. compJ.y with aJ.J. the safety codes issued by the FJ.orida IndustriaJ. Commission. 9. State J.aw requires construction to be done by J.icensed contractors. You have appJ.ied for a permit under an exemption to that J.aw. The exemption aJ.J.ows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a J.icense. You must provide direct onsite supervision of the construction yourseJ.f. You may buiJ.d or improve a one-famiJ.y or two-famiJ.y residence or a farm outbuiJ.ding. You may also buiJ.d or ~prove a commerciaJ. buiJ.ding, provided your costs do not exceed $25,000. The buiJ.ding or residence must be for your own use or occupancy. It may not be buiJ.t or substantiaJ.J.y ~proved for saJ.e or J.ease. If you seJ.J. or J.ease a buiJ.ding you have buiJ.t or substantiaJ.J.y improved yourseJ.f within 1 year after the construction is compJ.ete, the J.aw wiJ.J. presume that you buiJ.t or substantiaJ.J.y improved if for saJ.e or J.ease, which is a vioJ.ation of this exemption. You may not hire an unJ.icensed person to act as your contractor or to supervise peopJ.e working on your buiJ.ding. It is your responsibiJ.ity to make sure that peopJ.e empJ.oyed by you have J.icenses required by state J.aw and by county or municipaJ. J.icensing ordinances. You may not deJ.egate the responsibiJ.ity for supervising work to a licensed contractor who is not J.icensed to perform the work being done. Any person working on your buiJ.ding who is not J.icensed must work under your direct supervision and must be empJ.oyed by you, which means that you must deduct F. I. C . A. and wi thhoJ.ding tax and provide workers' compensation for that empJ.oyee, aJ.J. as prescribed by J.aw. Your construction must compJ.y with aJ.J. appJ.icabJ.e J.aws, ordinances, buiJ.ding codes, and zoning reguJ.ations. OWNER'S ADDRESS PHONE S?~~ 13%.~~~A ?1 '1 '[;<,I 3 - y,,) ~ ~ .LJe. A~ -VZ'<,.,1h DATE ;:::-i- :7 :J ~ 'f 2,.. If. ~ '-I'ry. WITNESS PERMIT #